Individual
MRS. LILLIAN R BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4822 E KENTUCKY AVE UNIT F, GLENDALE, CO 80246-2236
(509) 432-3594
Mailing address
256 NW CLAY CT, PULLMAN, WA 99163-3696
(150) 943-2359
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OC60822605
WA
224Z00000X
Occupational Therapy Assistant
OTA-1871
ID
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/25/2018
Last updated
09/30/2021
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